This option allows you to download a copy of the blank Questionnaire and complete the Questionnaire offline. Once you complete the Questionnaire, this Portal will allow you to upload your completed Questionnaire and submit it electronically, along with the documents that must be provided with the Questionnaire submission.
The below Basic Information allows the Portal to track the documents you upload. You must provide this information in addition to the information requested in Parts 2, 3, and 4 of the Questionnaire.
If you represent multiple claimants, you must complete a separate Questionnaire for each claimant and separately upload the required attachments.
Upload your completed Questionnaire here, along with any additional Questionnaire pages you used to complete your responses. If you chose to sign the Claimants’ Optional Authorization for Debtor’s Counsel to Obtain Trust Records (attached to the Questionnaire as Exhibit 1), upload that document here. In the following step, you will upload the required attachments to the Questionnaire, as well as any documents you are attaching to answer Parts 6, 7, and 8 of the Questionnaire as listed in your Document Checklist – Summary Inventory.
DBMP
:
:
Upload the following (please use PDF format if possible):
- Questionnaire (required)
- Questionnaire Additional Pages (optional)
Each claimant must submit copies of all Trust claim forms submitted by or on behalf of the claimant or Injured Party to Trusts listed in Table B of the Questionnaire (or the electronic equivalent if submitted electronically), as well as all other documents submitted to the Trusts, such as deposition transcripts, affidavits, invoices, etc. Alternatively, the claimant may execute the authorization attached to the Questionnaire as Exhibit 1 to authorize a law firm representing DBMP to obtain from Trusts any claim forms submitted to a Trust by or on behalf of the claimant or Injured Party, as well as other documents claimants submitted to the Trusts.
In addition, each claimant must upload copies of the following documents in the possession, custody, or control or the claimant or the claimant’s counsel:
- All depositions taken in any lawsuits listed in Part 8A that relate in any way to the Injured Party’s alleged exposures to asbestos or asbestos-containing products;
- All written discovery (including interrogatories and responses to requests for admission) the claimant or the claimant’s attorney has answered on the claimant’s behalf in any of the lawsuits listed in Part 8A;
- All expert reports produced by any party in any lawsuit listed in Part 8A;
- Social Security printout and copy of union employment records (where applicable); and
- Copy of medical records (or autopsy report) confirming diagnosis of mesothelioma.
Then, please confirm you have submitted all documents listed in your Document Checklist – Summary Inventory.
DBMP
:
:
Documents uploaded here will only be considered part of the submission for the claimant indicated in "Basic Information" screen. Documents applicable to multiple claimants should be uploaded in the submission for each claimant
Thank You
Your Questionnaire has been received successfully. Your confirmation code is:
